衡量申请癌症相关工作便利的自我效能:简短调查工具的开发与验证。

IF 3.3 2区 医学 Q2 ONCOLOGY
Victoria Blinder, Jada G Hamilton, Carolyn Eberle, Jackie Finik, Bharat Narang, Rose C Maly, Francesca Gany, Sujata Patil
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引用次数: 0

摘要

目的:获得工作便利(如请假就医)是预测癌症相关失业的一个关键因素。我们的目的是开发并验证一种与乳腺癌诊断和治疗需求相关的请求并获得工作便利的自我效能测量方法:方法:5 个项目的 "要求工作调整的自我效能"(SAWA)工具改编自一个量表,该量表用于测量患者与医生互动中的自我效能。年龄在 18-64 岁、讲英语、正在接受 I-III 期乳腺癌治疗的在职女性在治疗期间(化疗、放疗和/或手术后小于 60 天)和治疗结束 4 个月后完成了调查。治疗后调查是主要的验证数据集;为进一步评估有效性/可靠性,使用基线数据重复进行了分析。心理测量分析包括内部一致性、主成分因子分析、聚合和发散效度以及测试-再测可靠性(在治疗后调查两周后对部分患者进行测试):在 362 名参与者中,SAWA 测量的 Cronbach's alpha 为 0.93,表明量表具有很高的可靠性。因子分析显示,一个总量表可分为两个子量表。总体而言,SAWA 在假设变量的基础上表现出收敛有效性和发散有效性。在使用基线调查数据进行重复分析时,也观察到了类似的模式。在重测子集中,治疗后 4 个月的 SAWA 评估与 2 周后的重测之间的皮尔逊相关性为 0.79:SAWA 是一种经过验证的调查工具,可用于测量就业癌症患者要求并获得就业便利的自我效能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring Self-Efficacy to Request Cancer-Related Work Accommodations: Development and Validation of a Brief Survey Instrument.

Objective: Access to work accommodations, such as time off to attend medical appointments, is a key predictor of cancer-related job loss. We aimed to develop and validate a measure of self-efficacy to request and obtain work accommodations related to diagnosis of breast cancer and need for treatment.

Methods: The 5-item Self-efficacy to Ask for Work Accommodations (SAWA) tool was adapted from a scale that measures self-efficacy in patient-physician interactions. English-speaking, employed women, aged 18-64, who were undergoing treatment for stage I-III breast cancer completed surveys during treatment (chemotherapy, radiation, and/or < 60 days since surgery) and 4 months after its completion. Post-treatment surveys were the primary validation dataset; analyses were repeated using baseline data to further evaluate validity/reliability. Psychometric analyses included internal consistency, principal component factor analysis, convergent and divergent validity, and test-retest reliability (in a subset of patients, 2 weeks after post-treatment surveys).

Results: Among 362 participants, the SAWA measure had a Cronbach's alpha of 0.93, indicating high scale reliability. Factor analysis revealed one summary measure which could be divided into two subscales. Overall, the SAWA demonstrated convergent and divergent validity based on the hypothesized variables. Similar patterns were observed when analyses were repeated using baseline survey data. In the test-retest subset, the Pearson correlation between SAWA assessed 4 months post-treatment versus retest 2 weeks later was 0.79.

Conclusions: The SAWA is a validated survey instrument that can be used to measure self-efficacy in employed cancer patients to ask for and obtain employment accommodations.

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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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